主动脉根部置换术治疗合并严重主动脉瓣反流及偶然发现的左心室心肌致密化不全的主动脉根部瘤
Aortic root replacement for aortic root aneurysm with severe aortic regurgitation and incidentally detected left ventricular hyper-trabeculation/noncompaction.
作者信息
Boldyrev Sergey, Finsterer Josef, Stöllberger Claudia, Suslova Valentina, Barbukhatty Kirill, Sef Davorin
机构信息
Scientific Research Institute - Ochapovsky Regional Clinical Hospital #1, 140 Rossiyskaya St, Krasnodar, 350086 Russia.
Kuban State Medical University, 140 Rossiyskaya St, Krasnodar, 350086 Russia.
出版信息
Indian J Thorac Cardiovasc Surg. 2022 Sep;38(5):533-536. doi: 10.1007/s12055-022-01371-w. Epub 2022 May 21.
Abstract
A 54-year-old male with severe aortic regurgitation (AR), aortic root aneurysm, left ventricular hyper-trabeculation/noncompaction (LVHT) and systolic dysfunction with a left ventricular ejection fraction (LVEF) of 52% underwent successful aortic root replacement. Intraoperative video-endoscopy confirmed LVHT. At 3-year follow-up, he remains in an excellent clinical condition and echocardiography shows an improvement of the systolic function, LVHT and LVEF of 66%. Timely surgical correction of severe AR may also lead to improvement of systolic function in a patient with LVHT.
摘要
一名54岁男性，患有严重主动脉瓣反流（AR）、主动脉根部瘤、左心室心肌致密化不全（LVHT）以及收缩功能障碍，左心室射血分数（LVEF）为52%，成功接受了主动脉根部置换术。术中视频内镜检查证实存在LVHT。在3年的随访中，他的临床状况极佳，超声心动图显示收缩功能、LVHT有所改善，LVEF提高至66%。对于患有LVHT的患者，及时手术纠正严重AR也可能导致收缩功能改善。
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